Organization Name: | TRIPLE C HOUSING, INC |
NPI Number: | 1740340371 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE STIVALE (EXECUTIVE DIRECTOR) |
Mailing Address: | 1 Distribution Way Monmouth Junction |
State: | NJ US |
Postal Code: | 088523001 |
Phone Number: | 7322975840 |
Fax Number: | 7322975851 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 20108M080240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |